Lane and Associates Xlvii DDS PA
NPI #1083345664 in La Grange, North Carolina
Provider Information
- NPI Number
- 1083345664
- Entity Type
- Organization
- Organization Name
- Lane and Associates Xlvii DDS PA
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jun 23, 2022
- Last Updated
- Jun 23, 2022
Practice Location
- Address
- 515 S CASWELL ST
- City
- La Grange
- State
- North Carolina
- ZIP Code
- 28551-2005
- Phone
- (252) 566-9616
Authorized Official
- Name
- ALICIA DUFFY
- Title
- CREDENTIALING MANAGER
- Phone
- (919) 295-2757
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
| Dentist - General Practice — General Practice |
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